Question: 83 y/o white remarkably healthy we'll nourished alert Active woman. Walks 5-6 miles a week and can still ride her two wheel bike on flat streets in warm weather.
History of cataract 09 & thyroid 1964 surgery.
1986
hiatus hernia, 2006
osteoarthritis, 2010 diverticulosis
NOT on any script meds.
Presently taking:
multivitamin,
calcium,
fish oil,
glucosamine,
omeprazole,
alleve,
ASA 81 mg
2/8/14
diarrhea x 7 hrs, no fever or
vomiting,self treated with Imodium, bananas and Gatorade
After diarrhea subsided c/o generalized upper and lower extremity weakness
2/9/14. 22 hours later after diarrhea
Two man assist needed for ambulation
To ER Quickly evaluated for stroke Neg
CBC WNL. Electrolytes WNL, except lactate chest X-ray clear, ua neg
1500 ml normal saline administered
Discharged needing two man assist.
Remained weak, good fluid and food intake, output sufficient, no BM, A febrile
2/10/14 Today very weak, used rolling walker for first time, only able to weakly shuffle, so weak slid to floor x 2
While in bathroom felt, hit head on wall, no LOC, no bruising, no headache
Falls occurred w/I 4 hours
Returned to ER. CAT neg, 2nd chest XRay neg, CBC WNL 24 hour urine culture positive
Admitted being treated with a ceph antibiotic
Doctors baffled??????
Would you kindly offer some rule - outs. Reyes???
In major Long Island Medical Center